Service de Chirurgie Gynécologique Clinique Universitaire Baudelocque, Hôpital Cochin, 123, Boulevard Port-Royal, 75014 Paris, France
Address for correspondence: Prof. Jean-Bernard Dubuisson, Service de Chirurgie Gynécologique, Clinique Universitaire Baudelocque, C.H.U. Cochin, 123, Boulevard Port-Royal, 75014 Paris, France. Voice: 01-58-41-18-81; fax: 01-40-51-77-62.
jean-bernard.dubuisson{at}cch.ap-hop-paris.fr
The appearance of uterine myomas has been linked to infertility.
It has been suggested that surgical management of myomas by
laparoscopic myomectomy improves fertility rates in these group
of patients. In this paper we initially describe specific aspects
of the surgical technique of laparoscopic myomectomy including
the set-up, precise technique for hysteroromy, enucleation of
the myoma, suturing of the uterus, and extraction of the myoma.
We detail recent findings that demonstrate improved fertility
rates in women undergoing laparoscopic myomectomy. We recommend
that, when criteria for selection of patients is strictly adhered
to and patients present with no other associated infertility,
laparoscopic myomectomy be used to increase the implantation
rate.
